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NUR 3196 2 Drugs Exam Questions With Verified Detailed Answers

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NUR 3196 2 Drugs Exam Questions With Verified
Detailed Answers 2024-2025

Morphine brand name - Answer Astramorph PF, Duramorph



Morphine therapeutic class - Answer opioid analgesic



Morphine pharmacologic class - Answer opioid receptor agonist



Morphine actions - Answer -euphoria, constriction of pupils, stimulation of cardiac
muscle

-relieves acute or chronic pain if non-narcotic analgesics have failed

-preanesthetic

-acute chest pain associated with MI



Morphine administration alerts - Answer -oral solution may be given sublingually

-oral solution comes in multiple strengths

-can result in orthostatic hypotension

-never crush capsules or extended release tablets unless directed

-pregnancy category B



Morphine adverse effects - Answer -may cause dysphoria, hallucinations

-physical and psychologic dependence can develop when taking for prolonged periods
of time



Morphine side effects - Answer nausea, constipation, dizziness, and an itching
sensations

,Morphine contraindications - Answer -should be avoided is pt has gallbladder disease,
acute or severe asthma, GI obstruction, or kidney impairment

-should avoid if pt is taking CNS depressants (alcohol, antidepressants, sedatives)

-should not use kava, valerian, or St. John's wort (increases effects)



Morphine treatment of overdose - Answer -IV administration of naloxone

-activated charcoal, laxatives



Naloxone brand name - Answer Evzio, Narcan



Naloxone therapeutic class - Answer drug for treatment of acute opioid overdose and
misuse



Naloxone pharmacologic class - Answer opioid receptor antagonist



Naloxone actions Answer -reverses opioid effects in emergency situations when acute
opioid overdose is suspected

-works within minutes



Naloxone administration alerts Answer -administer for a respiratory rate of less than 10
breaths a minute

-pregnancy category B



Naloxone adverse effects Answer -has minimal toxicity itself

-reversal of effects of opioids cause increased blood pressure, tremors,
hyperventilation, nausea, vomiting, and drowsiness



Naloxone side effects Answer -see adverse effects

, Naloxone contraindications - Answer -do not administer to pts with depressed
respiration

-avoid taking echinecea- toxicity may result



Naloxone treatment of overdose - Answer oxygen, IV fluids, vasopressors



Aspirin brand name - Answer Acetylsalicylic Acid, ASA



Aspirin therapeutic class - Answer non-opioid analgesic, NSAID, antipyretic



Aspirin pharmacologic class - Answer salicylate, COX inhibitor



Aspirin actions - Answer pain and fever relief, anticoagulant activity-reduces mortality
risk post MI, has been shown to reduce risk of colorectal cancer



Aspirin administration alerts - Answer -should be stopped 1 week before surgery

-interferes with urine testing tests positive for VMA

-category D pregnancy



Aspirin adverse effects - Answer GI bleed



Aspirin side effects - Answer GI upset



Aspirin contraindications - Answer -clients receiving anticoagulant therapy warfarin and
heparin

-gastric upset may be increased with concurrent use of alcohol

-avoid concomitant use of garlic, ginger and ginkgo

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